NICKI GREEN
NPI 1174795660
Contractor in Phoenix, AZ

Active since March 25, 2008
517 W BEAUTIFUL LN, PHOENIX, AZ 85041(708) 955-8388 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicki Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKI GREEN (NPI 1174795660) is an individual contractor provider in Phoenix, Arizona, licensed in Arizona (2770314) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1174795660
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameNICKI GREEN
Location Address517 W BEAUTIFUL LNPhoenix, AZ 85041-8048
Mailing Address517 W Beautiful LnPhoenix, AZ 85041-8048 · (708) 955-8388
Sole ProprietorYes
Enumeration DateMarch 25, 2008
NPI 1174795660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in AZ · 2770314
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
517 W BEAUTIFUL LN, Phoenix, AZ 85041

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicki Green's NPI number?

The NPI number for Nicki Green is 1174795660. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Where is Nicki Green located?

Nicki Green practices at 517 W Beautiful Ln, Phoenix, AZ 85041. The listed phone number is (708) 955-8388.

What is Nicki Green's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Nicki Green was last updated on March 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.